Evidence map›Paper›PMID 31695755›Full record

ReviewTherapeutic advances in musculoskeletal disease2019

Balancing benefits and risks in the era of biologics.

Giovanni Adami, Kenneth G Saag, Roland D Chapurlat, Nuria Guañabens, Glenn Haugeberg, Willem F Lems, Radmila Matijevic, Nicola Peel, Denis Poddubnyy, Piet Geusens

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in musculoskeletal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Machine learning-based development of Gadolinium binding peptides.bioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. BeyondChemical reviews · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Maximizing the benefits of using biosimilars in Egypt.Journal of pharmaceutical policy and practice · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 10 countries.

Giovanni AdamiRheumatology Unit, University of Verona, Pz Scuro 10, 37135, Verona, Italy.ORCID https://orcid.org/0000-0002-8915-0755
Kenneth G SaagDivision of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0001-6189-8078
Roland D ChapurlatINSERM UMR 1033, Université de Lyon, Hôpital E Herriot, Lyon, France.
Nuria GuañabensRheumatology Department, Hospital Clinic, CIBERehd, IDIBAPS, University of Barcelona, Barcelona, Spain.
Glenn HaugebergDivision of Rheumatology, Medicine Department, Southern Hospital Trust, Trondheim, Norway.
Willem F LemsAmsterdam UMC, location VUmc, Amsterdam, the Netherlands.
Radmila MatijevicUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia.
Nicola PeelMetabolic Bone Centre, Northern General Hospital Sheffield, UK.
Denis PoddubnyyDepartment of Gastroenterology, Infectious Diseases, and Rheumatology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-4537-6015
Piet GeusensCAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, the Netherlands.
Amsterdam University Medical Centers · NLCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESGerman Rheumatism Research Centre · DEHospital of Southern Norway · NOMaastricht University · NLNorthern General Hospital · GBUniversité Claude Bernard Lyon 1 · FRUniversity of Alabama at Birmingham · USUniversity of Novi Sad · RSUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biologics are substances synthetized from biological sources used in the prevention and treatment of several diseases. Rheumatologists have many years of experience with biologics for the treatment of immune-mediated diseases and osteoporosis. Randomized clinical trials and postmarketing studies have demonstrated that treatment with biologics can result, albeit infrequently, in serious adverse events. To date, several risk mitigation strategies have been identified and implemented. The objective of the present perspective review is to examine the risk mitigation strategies of biologic treatments, with special focus on anti-tumor necrosis factors and denosumab.

Indexed as

benefit–risk ratiobiologicsdenosumabromosozumab

Identifiers

PMID31695755
PMCPMC6820177
OpenAlexW2982114671

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.